Skip to main content
SpringerLink
Log in

Komplikationen in der Adipositaschirurgie

  • Chapter
  • First Online:
Komplikationsmanagement in der Chirurgie

Zusammenfassung

Weltweit leiden nach Daten der WHO 1,5 Mrd. Menschen an Übergewicht. Die postoperative Mortalität in der Adipositaschirurgie liegt zwischen 0,2 und 0,7%. Da konservative Behandlungsmethoden nicht immer den gewünschten Erfolg haben, bieten sich bariatrische Operationen als effektive Methoden zur dauerhaften Gewichtsreduktion an. Aufgrund der Komorbiditäten sind bariatrische Operationen jedoch als Hochrisikoeingriffe anzusehen und bedürfen sorgfältiger Abklärung im Vorfeld. In diesem Kapitel werden die typischen Komplikationen der häufigsten bariatrischen Eingriffe (Magenballon, Magenband, Schlauchmagen, Roux-Y-Magenbypass), deren Diagnostik und Behandlung beschrieben.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Aurora AR, Khaitan L, Saber AA (2012) Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc 26(6):1509–1515

    Article  PubMed  Google Scholar 

  • Bantle JP, Ikramuddin S, Kellogg TA, Buchwald H (2007) Hyperinsulinemic hypoglycemia developing late after gastric bypass. Obes Surg 17(5):592–594

    Article  PubMed  Google Scholar 

  • Basso N, Casella G, Rizzello M, Abbatini F, Soricelli E, Alessandri G, Maglio C, Fantini A (2011) Laparoscopic sleeve gastrectomy as first stage or definitive intent in 300 consecutive cases. Surg Endosc 25(2):444–449

    Article  CAS  PubMed  Google Scholar 

  • Bellanger DE, Greenway FL (2011) Laparoscopic sleeve gastrectomy, 529 cases without a leak: short-term results and technical considerations. Obes Surg 21(2):146–150

    Article  PubMed  Google Scholar 

  • Brown WA, Burton PR, Anderson M, Korin A, Dixon JB, Hebbard G, O’Brien PE (2008) Symmetrical pouch dilatation after laparoscopic adjustable gastric banding: incidence and management. Obes Surg 18(9):1104–1108

    Article  PubMed  Google Scholar 

  • Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292(14):1724–1737

    Article  CAS  PubMed  Google Scholar 

  • Buchwald H, Estok R, Fahrbach K, Banel D, Jensen MD, Pories WJ, Bantle JP, Sledge I (2009) Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med 122(3):248–256 (e245)

    Article  PubMed  Google Scholar 

  • Carmody BJ, Sugerman HJ, Kellum JM, Jamal MK, Johnson JM, Carbonell AM, Maher JW, Wolfe LG, DeMaria EJ (2006) Pulmonary embolism complicating bariatric surgery: detailed analysis of a single institution’s 24-year experience. J Am Coll Surg 203(6):831–837

    Article  PubMed  Google Scholar 

  • Conti PS, Warner CH, Fleisher AG, Nay HR, Jones B (1988) Bowel obstruction caused by gastric balloons. AJR Am J Roentgenol 151(2):313–314

    Article  CAS  PubMed  Google Scholar 

  • Dapri G, Cadiere GB, Himpens J (2010) Reinforcing the staple line during laparoscopic sleeve gastrectomy: prospective randomized clinical study comparing three different techniques. Obes Surg 20(4):462–467

    Article  PubMed  Google Scholar 

  • DeMaria EJ, Murr M, Byrne TK, Blackstone R, Grant JP, Budak A, Wolfe L (2007) Validation of the obesity surgery mortality risk score in a multicenter study proves it stratifies mortality risk in patients undergoing gastric bypass for morbid obesity. Ann Surg 246(4):578–582 (discussion 583–574)

    Article  PubMed  Google Scholar 

  • Egan RJ, Monkhouse SJ, Meredith HE, Bates SE, Morgan JD, Norton SA (2011) The reporting of gastric band slip and related complications; a review of the literature. Obes Surg 21(8):1280–1288

    Article  PubMed  Google Scholar 

  • Evans JT, DeLegge MH (2011) Intragastric balloon therapy in the management of obesity: why the bad wrap? JPEN J Parenter Enteral Nutr 35(1):25–31

    Article  PubMed  Google Scholar 

  • Fielding GA, Allen JW (2002) A step-by-step guide to placement of the LAP-BAND adjustable gastric banding system. Am J Surg 184(6B):26–30

    Article  Google Scholar 

  • Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB (2003) Years of life lost due to obesity. JAMA 289(2):187–193

    Article  PubMed  Google Scholar 

  • Gadiot RP, Biter LU, Zengerink HJ, de Vos tot Nederveen Cappel RJ, Elte JW, Castro Cabezas M, Mannaerts GH (2012) Laparoscopic sleeve gastrectomy with an extensive posterior mobilization: technique and preliminary results. Obes Surg 22(2):320–329

    Article  PubMed  Google Scholar 

  • Gonzalez R, Sarr MG, Smith CD, Baghai M, Kendrick M, Szomstein S, Rosenthal R, Murr MM (2007) Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity. J Am Coll Surg 204(1):47–55

    Article  PubMed  Google Scholar 

  • Hamad GG, Choban PS (2005) Enoxaparin for thromboprophylaxis in morbidly obese patients undergoing bariatric surgery: findings of the prophylaxis against VTE outcomes in bariatric surgery patients receiving enoxaparin (PROBE) study. Obes Surg 15(10):1368–1374

    Article  PubMed  Google Scholar 

  • Hammer HF (2012) Medical complications of bariatric surgery: focus on malabsorption and dumping syndrome. Dig Dis 30(2):182–186

    Article  PubMed  Google Scholar 

  • Imaz I, Martinez-Cervell C, Garcia-Alvarez EE, Sendra-Gutierrez JM, Gonzalez-Enriquez J (2008) Safety and effectiveness of the intragastric balloon for obesity. A meta-analysis. Obes Surg 18(7):841–846

    Article  PubMed  Google Scholar 

  • Jurowich C, Germer CT, Seyfried F, Thalheimer A (2012) Metabolic surgery. Chirurg 83(6):583–598 (quiz 599–600)

    Article  CAS  PubMed  Google Scholar 

  • Knapps J, Ghanem M, Clements J, Merchant AM (2013) A systematic review of staple-line reinforcement in laparoscopic sleeve gastrectomy. JSLS 17(3):390–399

    Article  PubMed Central  PubMed  Google Scholar 

  • Lee WK, Kim SM (2014) Three-year experience of pouch dilatation and slippage management after laparoscopic adjustable gastric banding. Yonsei Med J 55(1):149–156

    Article  PubMed Central  PubMed  Google Scholar 

  • Loffredo A, Cappuccio M, De Luca M, de Werra C, Galloro G, Naddeo M, Forestieri P (2001) Three years experience with the new intragastric balloon, and a preoperative test for success with restrictive surgery. Obes Surg 11(3):330–333

    Article  CAS  PubMed  Google Scholar 

  • Malinowski SS (2006) Nutritional and metabolic complications of bariatric surgery. Am J Med Sci 331(4):219–225

    Article  PubMed  Google Scholar 

  • Mathus-Vliegen EM (2008) Intragastric balloon treatment for obesity: what does it really offer? Dig Dis 26(1):40–44

    Article  PubMed  Google Scholar 

  • Menenakos E, Stamou KM, Albanopoulos K, Papailiou J, Theodorou D, Leandros E (2010) Laparoscopic sleeve gastrectomy performed with intent to treat morbid obesity: a prospective single-center study of 261 patients with a median follow-up of 1 year. Obes Surg 20(3):276–282

    Article  PubMed  Google Scholar 

  • Mognol P, Vignes S, Chosidow D, Marmuse JP (2004) Rhabdomyolysis after laparoscopic bariatric surgery. Obes Surg 14(1):91–94

    Article  PubMed  Google Scholar 

  • Mohaupt MG (2003) Rhabdomyolysis. Ther Umsch 60(7):391–397

    Article  CAS  PubMed  Google Scholar 

  • Monkhouse SJ, Morgan JD, Norton SA (2009) Complications of bariatric surgery: presentation and emergency management – a review. Ann R Coll Surg Engl 91(4):280–286

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Moreira RO, Moreira RB, Machado NA, Goncalves TB, Coutinho WF (2008) Post-prandial hypoglycemia after bariatric surgery: pharmacological treatment with verapamil and acarbose. Obes Surg 18(12):1618–1621

    Article  PubMed  Google Scholar 

  • Morino M, Toppino M, Forestieri P, Angrisani L, Allaix ME, Scopinaro N (2007) Mortality after bariatric surgery: analysis of 13,871 morbidly obese patients from a national registry. Ann Surg 246(6):1002–1007 (discussion 1007–1009)

    Article  PubMed  Google Scholar 

  • Mousavi Naeini SM, Sheikh M (2012) Bowel Obstruction due to Migration of an Intragastric Balloon Necessitating Surgical Removal before Completion of the Recommended 6 Months. Case Rep Med 2012:414095

    PubMed Central  PubMed  Google Scholar 

  • Neff KJ, Olbers T, le Roux CW (2013) Bariatric surgery: the challenges with candidate selection, individualizing treatment and clinical outcomes. BMC Med 11:8

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Nguyen NT, Rivers R, Wolfe BM (2003) Factors associated with operative outcomes in laparoscopic gastric bypass. J Am Coll Surg 197(4):548–555 (discussion 555–547)

    Article  PubMed  Google Scholar 

  • Noria SF, Grantcharov T (2013) Biological effects of bariatric surgery on obesity-related comorbidities. Can J Surg 56(1):47–57

    Article  PubMed Central  PubMed  Google Scholar 

  • Parikh A, Alley JB, Peterson RM, Harnisch MC, Pfluke JM, Tapper DM, Fenton SJ (2012) Management options for symptomatic stenosis after laparoscopic vertical sleeve gastrectomy in the morbidly obese. Surg Endosc 26(3):738–746

    Article  PubMed  Google Scholar 

  • Sallet JA, Marchesini JB, Paiva DS, Komoto K, Pizani CE, Ribeiro ML, Miguel P, Ferraz AM, Sallet PC (2004) Brazilian multicenter study of the intragastric balloon. Obes Surg 14(7):991–998

    Article  PubMed  Google Scholar 

  • Sarkhosh K, Birch DW, Sharma A, Karmali S (2013) Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Can J Surg 56(5):347–352

    Article  PubMed Central  PubMed  Google Scholar 

  • Sato D, Morino K, Ohashi N, Ueda E, Ikeda K, Yamamoto H, Ugi S, Araki S, Maegawa H (2013) Octreotide improves early dumping syndrome potentially through incretins: a case report. Endocr J 60(7):847–853

    Article  CAS  PubMed  Google Scholar 

  • Sherwinter DA, Powers CJ, Geiss AC, Howard M, Warman J (2006) Posterior prolapse: an important entity even in the modern age of the pars flaccida approach to lap-band placement. Obes Surg 16(10):1312–1317

    Article  PubMed  Google Scholar 

  • Simon F, Siciliano I, Gillet A, Castel B, Coffin B, Msika S (2013) Gastric leak after laparoscopic sleeve gastrectomy: early covered self-expandable stent reduces healing time. Obes Surg 23(5):687–692

    Article  CAS  PubMed  Google Scholar 

  • Sjostrom L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, Dahlgren S, Larsson B, Narbro K, Sjostrom CD et al (2004) Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med 351(26):2683–2693

    Article  PubMed  Google Scholar 

  • Smith MD, Patterson E, Wahed AS, Belle SH, Berk PD, Courcoulas AP, Dakin GF, Flum DR, Machado L, Mitchell JE et al (2011) Thirty-day mortality after bariatric surgery: independently adjudicated causes of death in the longitudinal assessment of bariatric surgery. Obes Surg 21(11):1687–1692

    Article  PubMed Central  PubMed  Google Scholar 

  • Stenberg E, Szabo E, Agren G, Naslund E, Boman L, Bylund A, Hedenbro J, Laurenius A, Lundegardh G, Lonroth H et al (2014) Early Complications After Laparoscopic Gastric Bypass Surgery: Results From the Scandinavian Obesity Surgery Registry. Ann Surg 260(6):1040–1047

    Article  PubMed  Google Scholar 

  • Stroh C, Birk D, Flade-Kuthe R, Frenken M, Herbig B, Hohne S, Kohler H, Lange V, Ludwig K, Matkowitz R et al (2009) Evidence of thromboembolism prophylaxis in bariatric surgery-results of a quality assurance trial in bariatric surgery in Germany from 2005 to 2007 and review of the literature. Obes Surg 19(7):928–936

    Article  PubMed  Google Scholar 

  • Valderas JP, Ahuad J, Rubio L, Escalona M, Pollak F, Maiz A (2012) Acarbose improves hypoglycaemia following gastric bypass surgery without increasing glucagon-like peptide 1 levels. Obes Surg 22(4):582–586

    Article  PubMed  Google Scholar 

  • Weiner RA, Stroh C, El-Sayes I, Frenken M, Theodoridou S, Scheffel O, Weiner S (2015) Management of complications in bariatric surgery. Chirurg 86(1):56–66

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Allgemeine, Viszeral-, Transplantations-, Gefäß- und Thoraxchirurgie, Klinikum der Universität München, Campus Großhadern, Marchioninistraße 15, 81377, München, Deutschland

    Roland Ladurner Dr. med.

Authors
  1. Roland Ladurner Dr. med.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Roland Ladurner Dr. med. .

Editor information

Editors and Affiliations

  1. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Markus Rentsch

  2. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Andrej Khandoga

  3. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Martin Angele

  4. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Germany

    Jens Werner

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Ladurner, R. (2015). Komplikationen in der Adipositaschirurgie. In: Rentsch, M., Khandoga, A., Angele, M., Werner, J. (eds) Komplikationsmanagement in der Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43475-8_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-43475-8_26

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43474-1

  • Online ISBN: 978-3-662-43475-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation